NPI | 1073733234 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD IZQUIERDO President 718-589-4541 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2007-04-27 |
Last Update Date | 2010-02-25 |